| Dynamic Health Care Services,llc | |
|
703 Virginia St Dunedin FL 34698-6615 | |
| (727) 734-4000 | |
| (727) 724-4110 |
| Full Name | Dynamic Health Care Services,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 703 Virginia St, Dunedin, Florida |
| Authorized Official Name and Position | Cindy M Walker (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7277344000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Health Care Services,llc 703 Virginia St Dunedin FL 34698-6615 Ph: (727) 734-4000 | Dynamic Health Care Services,llc 703 Virginia St Dunedin FL 34698-6615 Ph: (727) 734-4000 |
| NPI Number | 1861769671 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 07/01/2015 |
| Medicare PECOS PAC ID | 0749448611 |
|---|---|
| Medicare Enrollment ID | O20120223000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861769671 | NPI | - | NPPES |
| 002VD | Other | FL | BCBS |
| 004449500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Haili J Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154928612 PECOS PAC ID: 3971913393 Enrollment ID: I20201113000037 |
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